Jackson, Mary

Jackson, Mary is an individual health care provider with primary practice located at 4200 Wisconsin Ave Nw Ste 4 , Washington DC 20016-2143. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Jackson, Mary can be contacted via phone (202) 243-3234.

Contact Information

Primary practice address
4200 Wisconsin Ave Nw Ste 4 Washington DC 20016-2143
Phone: (202) 243-3234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD500002817 District of Columbia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1295312122
LBN Legal business name Jackson, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2021
Last updated Jun 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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